Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,970.00 / $7,030.00	Facility		$1,159.00	$3,970.00	$7,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,953.00 / $2,147.44 / $4,053.65	Professional		$1,953.00	$2,147.44	$4,053.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,798.20 / $23,538.32 / $47,135.48	Facility		$10,798.20	$23,538.32	$47,135.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,425.06 / $2,905.41 / $3,736.27	Professional		$2,425.06	$2,905.41	$3,736.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,385.92	Facility		$400.00	$785.00	$2,385.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.96 / $3,000.77 / $4,748.53	Professional		$2,041.96	$3,000.77	$4,748.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,240.33 / $3,555.82 / $10,870.59	Professional		$2,240.33	$3,555.82	$10,870.59
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,466.27 / $2,647.66 / $2,889.63	Professional		$2,466.27	$2,647.66	$2,889.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,267.50	Professional		$32.34	$32.34	$3,267.50
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,098.94 / $2,963.58 / $4,917.33	Professional		$2,098.94	$2,963.58	$4,917.33